title: Induction of labour.
abstract: OBJECTIVE
  To review the most current literature in order to provide evidence-based recommendations to obstetrical care providers on induction of labour.
  
  
  METHODS
  Intervention in a pregnancy with induction of labour.
  
  
  RESULTS
  Appropriate timing and method of induction, appropriate mode of delivery, and optimal maternal and perinatal outcomes.
  
  
  METHODS
  Published literature was retrieved through searches of PubMed, CINAHL, and The Cochrane Library in 2010 using appropriate controlled vocabulary (e.g., labour, induced, labour induction, cervical ripening) and key words (e.g., induce, induction, augmentation). Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to the end of 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
  
  
  METHODS
  The evidence in this document was rated using criteria described in the Report of the Canadian Task Force on Preventative Health Care (Table 1). SUMMARY STATEMENTS: 1. Prostaglandins E(2) (cervical and vaginal) are effective agents of cervical ripening and induction of labour for an unfavourable cervix. (I) 2. Intravaginal prostaglandins E(2) are preferred to intracervical prostaglandins E(2) because they results in more timely vaginal deliveries. (I).
authors.affiliation: Ottawa ON.
authors.forename: Dean
authors.initials: D
authors.lastname: Leduc
authors.affiliation: Toronto ON.
authors.forename: Anne
authors.initials: A
authors.lastname: Biringer
authors.affiliation: Vancouver BC.
authors.forename: Lily
authors.initials: L
authors.lastname: Lee
authors.affiliation: Ottawa ON.
authors.forename: Jessica
authors.initials: J
authors.lastname: Dy
mesh_terms: D000650:Amnion / Q000601:surgery*; D000075202:Contraindications; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods* / Q000592:standards*; D010120:Oxytocics / Q000008:administration & dosage; D010121:Oxytocin / Q000008:administration & dosage; D011247:Pregnancy; D011453:Prostaglandins / Q000008:administration & dosage*; D013997:Time Factors
chemical_list: D010120:Oxytocics; D011453:Prostaglandins; D010121:Oxytocin
keywords: cervical ripening; induction; labour; post-dates